. Antiseptic surgery : an address delivered at St. Thomas's Hospital : with the subsequent debate to which are added a short statement of the theory of the antiseptic method, a description of the materials employed in carrying it out, and some applications of the method to operations and injuries in different regions of the body, and to wounds received in war. Fig. 57.—Volkmanns suspension splint. The cross-piece is made reversible,so that the same splint will answer for either arm, and for both theexternal and internal aspects. be made when needed, and all the wounds washed out againwith the
. Antiseptic surgery : an address delivered at St. Thomas's Hospital : with the subsequent debate to which are added a short statement of the theory of the antiseptic method, a description of the materials employed in carrying it out, and some applications of the method to operations and injuries in different regions of the body, and to wounds received in war. Fig. 57.—Volkmanns suspension splint. The cross-piece is made reversible,so that the same splint will answer for either arm, and for both theexternal and internal aspects. be made when needed, and all the wounds washed out againwith the strong solution. Konig ^ has published some cases of diffuse suppurationin the tendinous sheaths of the fore-arm muscles, in whichhe laid open the sheath, allowed pus to escape, and then Konig, Antiseptisches Verfahren bei Infeetiosen Eiteningen, DeutscheZeitschrift fiir Chirurgie, vol. x. TREATMENT OF SEPTIC WOUNDS. 265 washed out the cavity. There was no subsequent necrosisof the tendons, and the function of the hand was restored. Probably, on first seeing a patient affected by such aninflammation, we find the hand and fore-arm tense andswollen, dull red in hue, pitting on pressure, exceedinglypainful, his general condition one of high fever or alreadybetraying signs of septic Fig. 58.—Apparatus for coiitinuons irrigation. The well-marked sulcus produced by the annular ligamentis very characteristic of inflammation of the deeper parts inthe hand and fore-arm. As a preliminary or adjuvant to the antiseptic treatment,the arm maybe suspended in the splint, shown in fig. 57, andmuch of the inflammatory oedema will be thus the suspension continuous irrigation may be usefullycombined. 266 ANTISEPTIC SURGERY. The hand and arm should be washed with soap and water,and then with 5-per-cent. carbolic solution; the needfulincisions made in sufficient number, under the spray, thesuppurating sheaths or bursse opened and washed out, andthe hand and fore-arm enve
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